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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A conceptual framework for understanding HIV risk behavior in the context of supporting fertility goals among HIV-serodiscordant couples
Reproductive Health Matters, Volume 20, No. SUPPL. 39, Year 2012
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Description
Integrated reproductive health services for people living with HIV must address their fertility intentions. For HIV-serodiscordant couples who want to conceive, attempted conception confers a substantial risk of HIV transmission to the uninfected partner. Behavioral and pharmacologic strategies may reduce HIV transmission risk among HIV-serodiscordant couples who seek to conceive. In order to develop effective pharmaco-behavioral programs, it is important to understand and address the contexts surrounding reproductive decision-making; perceived periconception HIV transmission risk; and periconception risk behaviors. We present a conceptual framework to describe the dynamics involved in periconception HIV risk behaviors in a South African setting. We adapt the Information-Motivation-Behavioral Skill Model of HIV Preventative Behavior to address the structural, individual and couple-level determinants of safer conception behavior. The framework is intended to identify factors that influence periconception HIV risk behavior among serodiscordant couples, and therefore to guide design and implementation of integrated and effective HIV, reproductive health and family planning services that support reproductive decision-making. © 2012 Reproductive Health Matters.
Authors & Co-Authors
Crankshaw, Tamaryn L.
South Africa, Durban
Mccord Hospital
Matthews, Lynn Turner
United States, Boston
Massachusetts General Hospital
United States, Boston
Harvard Medical School
Giddy, Janet
South Africa, Durban
Mccord Hospital
Kaida, Angela
Canada, Burnaby
Simon Fraser University
Ware, Norma C.
United States, Boston
Harvard Medical School
Smit, Jennifer Ann
South Africa, Johannesburg
University of the Witwatersrand Faculty of Health Sciences
United States, Boston
Massachusetts General Hospital
Bangsberg, David R.
Uganda, Mbarara
Mbarara University of Science and Technology
Statistics
Citations: 61
Authors: 7
Affiliations: 6
Identifiers
Doi:
10.1016/S0968-8080(12)39639-0
e-ISSN:
14609576
Research Areas
Infectious Diseases
Sexual And Reproductive Health